Unfortunately there are too many cons to count. Let's start with the turn over rate. It must be sky high because every month there's at least 2 new employee orientations at the huge company headquarters in NJ officially named "The New Jersey Learning Center" and they post group pictures of the new employees in the weekly bulletin and there's easily 30 new employees hired every other week. The company is growing but certainly not that quickly. Reasons for the high turnover? My guess is burnout. Office employees are overworked and the offices are grossly understaffed (and underpaid for that matter). Your work week is 40 hours and you're paid salary but you're phone blows up every evening and all weekend and visits are expected at all times of the day and night. Imagine creeping outside someone's house at 2 in the morning because you have to do a mandatory annual supervisory visit on a nurse that only works night shifts. Insanity. And lastly, the benefits are the worst I've ever had in my entire career. That goes for health benefits (which are outrageously expensive to begin with and we're just announced premium increases of up to 10% for subpar coverage) as well as holidays, personal time, vacation time, and sick time. All substandard for the healthcare industry. So there's your reasons for CM and CSM burnout! They do this semi-annual employee satisfaction survey and really go overboard when explaining how they're going to make changes based on the results of the surveys however in all the years I've been here, no changes have been made to the benefits. I've just been charged more money and given the same amount of paid time off. So I wish they'd stop pretending to care what employees have to say. It's disingenuous.